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Idaho rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $101.05 / $101.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $75.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $59.82 / $63.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $84.68 / $120.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.19 / $114.20 / $120.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $88.71 / $105.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.26 / $117.40 / $176.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $84.15 / $126.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.59 / $44.98 / $71.34